manual on management of drugs

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Monthly return for vaccine consumption Name of the institution……………………………………………… Year …………..Month…………… Type of Vaccine Serum ERIG HRIG Intramuscular 5 dose schedule 2-1-1 schedule Intradermal 2 schedule 8 schedule No of patients treated 1 st dose 2 nd dose 3 rd dose 4 th dose 5 th dose Balance Serum Vaccine opening balance Received Conumption during month …………… ……………………. …………………. Signature Designation Date 73
General Circular No: 01-22/2004 My No: EPID/MH/117/2004 Office of the Director General of Health Services, Ministry of Health, "Suwasiripaya" Colombo 10. 31 st August 2004 Provincial Directors of Health Services Deputy Provincial Director of Health Services All Heads of Decentralised Units Directors of Teaching Hospitals All MSS/ DMOs / MOles All Heads of Institutions Guidelines For The Procedure To Be Followed In A Case Of Death Due To Human Rabies And Disposal Of The Body Human to human transmission of rabies has not been reported even though there is a theoretical possibility for such transmission. Duration of virus survival in a dead body is unknown, but most likely may be for a few hours. However, it is necessary to take all precautions when handling a dead body due to the risk of contamination with infected material, such as brain and saliva. Please follow the instructions given below in a case of death due to human rabies and disposal of the body. Death in a Medical Institution 1. Human Rabies is a notifiable disease in Sri Lanka and therefore all cases should be notified immediately to the relevant Medical Officer of Health. 2. A post-mortem is essential in all suspected cases of human rabies in order to confirm by laboratory diagnosis. A specimen of the whole brain without any preservatives should be sent to the Medical Research Institute (MRI) with a clinical history of the patient. The specimen should be transported in a leak proof container packed in ice. Blood or cerebrospinal fluid collected at post-mortem should not be sent to MRI for rabies diagnosis. 3. All staff handling the dead body and the soiled linen should wear gloves. In addition the uses of standard precautions are recommended to be adopted during a post-mortem, to wear masks, gloves, boots, apron and preferably goggles. 4. The body should be handed over to the relatives without any delay 74
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MANUAL ON MANAGEMENT OF DRUGS SECON
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MESSAGE BY THE SECRETARY/ MINISTRY
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ACKNOWLEDGEMENT It is a great pleas
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Dr. J. M. J. Munasinghe Dr. K. C. L
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ABBREVIATIONS AD CP CDD CDDA D(F) D
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CONTENTS Message by the Hon. Minist
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X Form for Drug sample for quality
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CHAPTER 1 INTRODUCTION 1.Ensuring a
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3.The expenditure on drugs has been
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of poisons, opium, and dangerous dr
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(Medical Technology & Supplies) No
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c) NDQAL for quality assurance of d
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Deputy Director General (Finance) D
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(d) The Institutional Drug Therapeu
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CHAPTER 4 ESTIMATION OF ANNUAL REQU
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Step 2 Identify the stock available
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In the case of institutions under t
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oard appointed by him and a report
Page 38 and 39: Head of the Institution may add any
Page 40 and 41: ii. Injections costing Rs. 25.00 or
Page 42 and 43: 42. Delivery schedules are planned
Page 44 and 45: CHAPTER 6 CARE IN PRESCRIBING DRUGS
Page 46 and 47: CHAPTER 7 DISTRIBUTION AND LOGISTIC
Page 48 and 49: the institution. Records of the inv
Page 50 and 51: RMSD or institutional stores, the o
Page 52 and 53: CHAPTER 8 QUALITY ASSURANCE OF DRUG
Page 54 and 55: ioavailability. Further, in apprais
Page 56 and 57: x. Details of any preservative adde
Page 58 and 59: To request institutions to inform t
Page 60 and 61: CHAPTER 9 STORAGE OF DRUGS. 1. Prop
Page 62 and 63: xi. Storage of vaccine in the refri
Page 64 and 65: CHAPTER 10 MONITORING OF CONSUMPTIO
Page 66 and 67: ii. VEN analysis ( See annexure XV
Page 68 and 69: 9. Monitoring of quality of drugs;
Page 70 and 71: alance as per ledger, actual balanc
Page 72 and 73: 1.3 In case of institutions coming
Page 74 and 75: Ampoules should be crushed and buri
Page 76 and 77: ANNEXURE I1: Main functions of Medi
Page 78 and 79: I - Annual stock holding cost as a
Page 80 and 81: Anti Rabies cell culture vaccine. (
Page 82 and 83: unobservable (animal dead, killed,
Page 84 and 85: on D0, D3, D7, D14 & D30. 6.1.2 For
Page 86 and 87: All patients who receive rabies PET
Page 90 and 91: Death in the house / outside a Medi
Page 92 and 93: 2.2 In case of major exposures: 2.2
Page 94 and 95: ANNEXURE - V MyNo……/…../….
Page 96 and 97: Advertisement Screening Unit Unit o
Page 98 and 99: ANNEXURE VIII (To be amended To: My
Page 100 and 101: ANNEXURE X ……………………
Page 102 and 103: 6. Quality failure of registration
Page 105 and 106: ANNEXURE XIII Lot Card SR No……
Page 107 and 108: ANNEXURE XV VEN Analysis This analy
Page 109: Sample Guidelines for VEN Category
Page 112 and 113: Unsatisfactory clinical response, a
Page 114 and 115: Local Agents of supplier (on reques
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